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MR. CIRE PEITROVICH MANUEL ORTEGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
12141 RICHMOND AVE, HOUSTON, TX 77082-2408
(281) 558-3444
Mailing address
1802 CAMPBELL RD APT 55, HOUSTON, TX 77080-8002
(443) 824-5396

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
PA17134
TX
363A00000X
Physician Assistant
Primary
PA17134
TX

Other

Enumeration date
09/14/2023
Last updated
09/14/2023
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